Individual
LISA ANN WILSON-FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
51 E MAIN ST, AVON, CT 06001-3821
(860) 677-2934
Mailing address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 651-0477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002951
CT
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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